The British journal of oral & maxillofacial surgery
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Br J Oral Maxillofac Surg · Apr 2007
Randomized Controlled Trial Comparative StudyA comparison of midazolam and midazolam with remifentanil for patient-controlled sedation during operations on third molars.
Our aim was to compare patients' satisfaction and cooperation, and clinical efficacy, of midazolam alone, and midazolam and remifentanil for patient-controlled sedation during removal of third molars. Forty patients, American Society of Anesthesiologists grades I and II, admitted for extraction of impacted mandibular third molars were included in this randomised, prospective study. They were given an intravenous bolus of midazolam 0.03 mg/kg and then allowed to use patient-controlled sedation. ⋯ Immediately postoperatively, 19 patients in each group ranked their satisfaction as excellent and 1 as good. Twenty-four hours later it was unchanged in the midazolam group, while 15 patients in the other group thought it was excellent, 3 good, and 2 poor. Patient-controlled analgesia with midazolam or midazolam and remifentanil is safe and reliable during extraction of third molars.
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Br J Oral Maxillofac Surg · Apr 2007
Sutureless otoplasty by scoring of the cartilage: a study in 34 patients.
The aim of correction of prominent ears is to improve cosmesis, preferably without complications. We used cartilage scoring with a surgical blade while controlling the degree of helical fold created with fine diathermy at the edge of fold. Thirty-four consecutive patients had bilateral correction, with a mean follow-up of 6 months. ⋯ There were no haematomas, wound breakdowns, or protrusion of sutures (no sutures were used generally except for deep conchal bowl where conchomastoid sutures were used). We think that the low complication rate is the result of maximising the advantages and minimising the disadvantages of the different techniques. We recommend this technique for the routine correction of prominent ears as a result of a poorly formed antihelical fold or deep conchal bowl.